摘要
目的探讨脑梗死患者冠状动脉（冠脉）狭窄的患病率及其相关因素。方法112例患者脑血管造影后行冠脉造影检查，对临床资料和冠脉狭窄之间的关系进行多因素logistic回归分析。结果112例患者中，冠脉狭窄患病率为46．4％；经脑血管造影证实的95例脑梗死患者中，冠脉狭窄患病率为51．6％。多元logistic回归分析表明，年龄、高血压、高血脂、脑动脉显著狭窄是冠脉狭窄的独立预测因素。结论对于脑梗死患者，尤其是年龄〉165岁，合并高血压、高血脂、脑动脉显著狭窄，脑血管造影后应行心脏64排CT常规筛查，以便早期发现冠脉狭窄。
Objective To study the morbidity rate of and relevance to coronary stenosis in cerebral infarction patients. Methods CT coronary angiography was performed in 112 cases of cerebral infarction after CT cerebral angiography. Multivariate logistic regression analysis was carried out between the clinical data and coronary stenosis. Results In 112 cases receiving CT cerebral angiography, the morbidity rate of coronary stenosis was 46.4%. In 95 cerebral infarction patients, the morbidity rate of coronary stenosis was 51.6%. Multivariate logistic analysis showed that age, hypertension, hyperlipoidemia, significant narrowing of cerebral artery were identified as independent predictors for coronary stenosis. Conclusions Heart examination with 64 row CT should be routinely performed after cerebral angiography in cerebral infarction patients,especially in those with age greater than 65 years, hypertension, hyperlipoidemia and significant narrowing of cerebral artery so as to detect coronary stenosis early.
出处
《中华内科杂志》
CAS
CSCD
北大核心
2008年第8期658-660,共3页
Chinese Journal of Internal Medicine
作者简介
通信作者：郑江红，Email：zhangye7547@163．com
